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Cell Rep Med ; 1(1)2020 04 21.
Article in English | MEDLINE | ID: mdl-32864635

ABSTRACT

Follicular helper T cells (TFH) are critical for vaccine and infection elicitation of long-lived humoral immunity, but exaggerated TFH responses can promote autoimmunity and other pathologies. It is unfortunate that no clinical interventions exist for the selective depletion of follicular T cells to alleviate these diseases. We engineered a chimeric antigen receptor (CAR) facilitating the specific targeting of cells with high expression levels of human programmed cell death protein 1 (PD-1), a cardinal feature of follicular T cells. CAR-expressing human natural killer (NK) cells robustly and discriminately eliminated PD-1high follicular human T cells in vitro and in a humanized mouse model of lupus-like disease while sparing B cells and other PD-1low T cell subsets, including regulatory T cells. These results establish a strategy for specific targeting of PD-1high T cells that can be advanced as a clinical tool for the selective depletion of pathogenic follicular T cells or other PD-1high target cells in certain disease states.


Subject(s)
Killer Cells, Natural/transplantation , Receptors, Chimeric Antigen/metabolism , T-Lymphocytes/immunology , Adult , Animals , Autoimmune Diseases/immunology , Autoimmune Diseases/therapy , Autoimmunity/genetics , Autoimmunity/immunology , Cells, Cultured , Child , Child, Preschool , Drosophila melanogaster , Female , Humans , Immunotherapy, Adoptive/methods , Killer Cells, Natural/metabolism , Killer Cells, Natural/physiology , Male , Mice , Mice, Inbred NOD , Mice, SCID , Mice, Transgenic , Receptors, Chimeric Antigen/genetics , T-Lymphocytes/metabolism
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